In Chronic Stroke, The Effect Of Action Observation And An Accelerated Skill Acquisition Program

Abstract

Background: Action observation therapy is comprised of action observation session which is followed by repeating the action performed by the patient.  Action observation performed by others activates motor cortex which is attributed to the function of mirror neuron system (MNS).  Accelerated skill acquisition program (ASAP) is a modern motor training method that combines motivation, skills, and capacity.; Objective: The objective of this study is to find the effect of action observation execution and Accelerated Skill acquisition Program enhancing the function of upper extremity in chronic stroke; Study Design :  Experimental Design, study type is Pre and post test and sample method is convenient Sampling; Participants: comprising of 30 subjects divided into Group A and B; Interventions: Group A received Action observation therapy and Accelerate skill acquisition program along with conventional therapy and Group B or the control group received conventional physiotherapy; Setting: Department of Physiotherapy,; Main Outcome Measures: Modified Sphygmomanometer, Wolf Motor Function Test and Fugl Meyer Assessment;   Results: The mean pre-test(143.8) and post-test value (166.73) of MSM (p<0.05)  shows statistical significance in grip strength in Group A. The mean pre-test (35.133) and post-test (50.5333) values of WOLF (p<0.05) shows statistical significance in improving hand motor ability in Group A subjects. Mean pre-test (16.333) and post-test values (19.73) (p<0.05) shows statistical significance in increased hand function in GROUP A; Conclusion: This study concludes that Action observation execution combined with accelerated skill acquisition program has an effect on improving hand function when assessed on Fugl Meyer Assessment, Wolf motor function test and Modified Sphygmomanometer.